Kenneth Conrad Jackson II, PHARM.D., R.PH.
NPI 1275514994ActiveIndividual· Pharmacist, Pharmacotherapy· Salt Lake City, UT
Pharmacist, Pharmacotherapy (PHARM.D., R.PH.) in Salt Lake City, Utah, licensed in UT, with an NPI issued in November 2005.
Overview
| NPI | 1275514994 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D., R.PH. |
| Sole proprietor | No |
| NPI issued | Nov 9, 2005 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | 363584-1701 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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